NPIMap

Organization Active NPI

Indiana Counseling and Resilience Center, LLC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1205409414
Registry record updated Jul 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INDIANA COUNSELING AND RESILIENCE CENTER, LLC
Practice address
2345 S Lynhurst Dr
Ste 108
Indianapolis, IN 46241-5100
Phone
(317) 801-3737
Fax
(317) 756-9906
NPI assigned
Jul 24, 2021
Last updated
Jul 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather Fosnaugh, LMHCNPI 1386089597
Title
Owner
Phone
(317) 801-3737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2345 S Lynhurst Dr
Ste 108
Indianapolis, IN 46241-5100

Mailing address

2345 S Lynhurst Dr
Ste 108
Indianapolis, IN 46241-5100
Phone (317) 801-3737

National Provider Directory

National Provider Directory

Locations

2345 S Lynhurst Dr
Ste 108
Indianapolis, IN 46241
Phone (317) 801-3737

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627084800000",
    "number": "1205409414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 S LYNHURST DR",
            "address_2": "STE 108",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462415100",
            "telephone_number": "317-801-3737",
            "fax_number": "317-756-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 S LYNHURST DR",
            "address_2": "STE 108",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462415100",
            "telephone_number": "317-801-3737",
            "fax_number": "317-756-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA COUNSELING AND RESILIENCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A",
        "authorized_official_last_name": "FOSNAUGH",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-801-3737",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.